The FCP Podcast
Information and learning podcast for first contact practitioners in primary care. During the podcast episodes Emma and Richard will be discussing first contact cases commonly seen in General Practice with experienced clinicians with a background in a certain clinical area. The cases will review the approach to history taking, red flags and the appropriate investigations. The cases will be based around the FCP - Paramedics roadmap core clinical competencies, to unsure appropriate knowledge .These podcast's should serve as a supplement to your learning as a first contact practitioner. You will require further learning, support and self directed study to develop into a qualified FCP. These podcasts are for health care professionals only and should not be used for medical advice by members of the public. The content is based on the interviewees opinion and interpretation of best clinical practice at the time of the recording. These podcasts should support your learning and should not replace your clinical judgement or local guidelines. Special thanks to Scott Edwards for audio and Martin Berrisford for editing.
Latest episodes
Jul 25, 2024 • 1h 3min
Learning Disability patient assessment with Dr Ayesha Mahmud Episode 2 'How well do you know that patient'
Send us a textRichard is joined by Dr Ayesha Mahmud who is a GP with a specialist and personal interest in learning disabilities. During the episode we discuss cases including low mood, memory loss and menopause. We use these case studies to discuss pertinent history taking, investigations and referral.Hope you enjoy the episode.Please feel free to contact us if you have any questionsrichard.tennant@nhs.netayesha.mahmud@nhs.netThank you as always to Scott for you help and support.EHCP and related SEN serviceshttp://www.coventry.gov.uk/homepage/1636/special-educational-needs-and-disabilitieshttps://www.coventry.gov.uk/sendlocalofferhttps://www.coventry.gov.uk/coventrys-special-educational-needs-disability-send-local-offer/statutory-assessmenthttps://www.coventry.gov.uk/special-educational-needs-disabilities/childrens-disability-registerhttps://www.coventry.gov.uk/special-educational-needs-disabilities/early-support-children-5-disabilitieshttps://www.coventry.gov.uk/coventry-send-support-serviceHealth Information about annual health checks:https://www.covwarkpt.nhs.uk/learning-disability-services ScreeningEasy to access resources to understand the screening process:Cervicalhttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/790791/CSP05_an_easy_guide_to_cervical_screening.pdfBreasthttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1166565/An_easy_guide_to_breast_screening_June23.pdfhttps://phescreening.blog.gov.uk/2019/12/20/learning-disabilities-breast-screening-film/Bowelhttps://static1.squarespace.com/static/551cfff9e4b0f74d74cb307e/t/6091495eccfeef0790ab2467/1620134242898/An+Easy+Guide+to+Bowel+Cancer+Screening+-+2021.pdfEasy read health informationBeyond Wordshttps://booksbeyondwords.co.uk/resources-dlIt has resources about screening, health checks and also resources with pictures for people who are unable to read.There are resources about dealing with grief, bullying and law.Breast screeningCervical screeningColonoscopyBowel screeningTesticular self examinationVisiting Sexual health clinicBowel movement and stoolsCollege of ParamedicsPrimary and Urgent Care (collegeofparamedics.co.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub
Jun 7, 2024 • 46min
Learning Disability patient assessment with Dr Ayesha Mahmud Episode 1 'Do not assume'
Send us a textRichard is joined by Dr Ayesha Mahmud who is a GP with specialist and personal interest in learning disabilities. During the episode we define learning disabilities, why it is important to clinical practice and what should be included in learning disability reviews. We then discuss a case including with Dr Ayesha of a concerned patient which includes pertinent history, investigations and referral.Please feel free to contact us if you have any questionsrichard.tennant@nhs.netayesha.mahmud@nhs.netThank you as always to Scott for you help and support.EHCP and related SEN serviceshttp://www.coventry.gov.uk/homepage/1636/special-educational-needs-and-disabilitieshttps://www.coventry.gov.uk/sendlocalofferhttps://www.coventry.gov.uk/coventrys-special-educational-needs-disability-send-local-offer/statutory-assessmenthttps://www.coventry.gov.uk/special-educational-needs-disabilities/childrens-disability-registerhttps://www.coventry.gov.uk/special-educational-needs-disabilities/early-support-children-5-disabilitieshttps://www.coventry.gov.uk/coventry-send-support-serviceHealth Information about annual health checks:https://www.covwarkpt.nhs.uk/learning-disability-services ScreeningEasy to access resources to understand the screening process:Cervicalhttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/790791/CSP05_an_easy_guide_to_cervical_screening.pdfBreasthttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1166565/An_easy_guide_to_breast_screening_June23.pdfhttps://phescreening.blog.gov.uk/2019/12/20/learning-disabilities-breast-screening-film/Bowelhttps://static1.squarespace.com/static/551cfff9e4b0f74d74cb307e/t/6091495eccfeef0790ab2467/1620134242898/An+Easy+Guide+to+Bowel+Cancer+Screening+-+2021.pdf8. Easy read health informationBeyond Wordshttps://booksbeyondwords.co.uk/resources-dlIt has resources about screening, health checks and also resources with pictures for people who are unable to read.There are resources about dealing with grief, bullying and law.Breast screeningCervical screeningColonoscopyBowel screeningTesticular self examinationVisiting Sexual health clinicBowel movement and stoolsCollege of ParamedicsPrimary and Urgent Care (collegeofparamedics.co.uk)Coventry and Warwickshire Training Hub
May 22, 2024 • 35min
Equity, Diversity, Inclusion & Belonging In General Practice with Dr Mai Elftise 'Doing the RIGHT thing'
Send us a textRichard welcomes back Dr Mai Elftise to the podcast to discuss Equity, Diversity, Inclusion & Belonging (EDIB) in General Practice. During the episode Mai defines EDIB , including the legislation and what this means in General Practice. We then discuss how EDIB can affect patient assessments and how to you may consider adapting your consultations.Thank you to Scott for your help and support as as well.Please feel free to leave comments and suggestions or content us via email or x. Richard Tennant - richard.tennant@nhs.netMai Elftise - m.elftise@nhs.netEquality Act 2010 - Equality Act 2010 (legislation.gov.uk)Protected characteristicsAgeDisabilityGender reassignmentMarriage and civil partnershipRaceReligion or beliefSexSexual orientationUnconscious bias Understanding different types of bias — Conscious inclusion - Equality, diversity and inclusion - About (hee.nhs.uk)The Weathering Hypothesis The weathering hypothesis as an explanation for racial disparities in health: a systematic review - ScienceDirectNHS EmployersEquality, diversity and inclusion | NHS EmployersCoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)
Apr 16, 2024 • 52min
MSK - Shoulder Assessment with Ed Baker 'think of active and passive movements for potential shoulder pathology'
Send us a textRichard is joined by regular MSK specialist - Ed Baker, FCP Physio and ambassador for the episode. During the episode Ed discus's the assessment of patients with possible shoulder pathology. This includes history taking, physical examination , investigations, red flags and referral. Ed then discus's cases in including subacromial impingement syndrome and frozen shoulder. As always thank you Scott for your help and support.Please feel free to leave comments and contact us about the show.Shoulder Pain NICE guidelines Shoulder pain | Health topics A to Z | CKS | NICECollege of ParamedicsHome (collegeofparamedics.co.uk)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)Limb Examination DayLimb Examination Day - 16 August 2024 - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)
Mar 25, 2024 • 51min
Cardiology assessment with Professor Derek Connolly episode 2 'This is heart failure until proved otherwise'
Send us a textRichard welcomes back consultant cardiologist Professor Derek Connolly to the podcast. During the episode we discuss cases including patients presenting with leg swelling / orthopnea, and patients with palpitations. Derek give us he's specialist knowledge on how to assess's these patient presentations including history, red flags, investigations and referral.Please follow us on X @FCPParamedicpod and Derek @DrDerekConnolly As always special thank you to Scott for your help.British Society For Heart FailureBritish Society For Heart Failure (bsh.org.uk)Primary Care Cardiovascular SocietyPrimary Care Cardiovascular Society (pccsuk.org)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)CHADVAS ScoreCHA₂DS₂-VASc Score for Atrial Fibrillation Stroke Risk (mdcalc.com)HAS-BLED ScoreHAS-BLED Score for Major Bleeding Risk (mdcalc.com)
Feb 28, 2024 • 51min
Cardiology assessment with Professor Derek Connolly Episode 1 'Is this cardiac or could it be cardiac'
Send us a textRichard welcomes Professor Derek Connolly to the show who is a consultant cardiologist at Birmingham City Hospital. During the episode, Derek discus's how he assesses patients with possible cardiac pathology's. We discus, history taking , red flags, investigation and referrals. We then discus a case of a patient presenting with chest pain in general practice, which includes when to refer, what is involved in the rapid access to chest pain clinic and perinate history which could increase the likely of cardiac pathology. As always thank to Scott for your help and support. This podcast was brought to you with collaboration between Coventry and Warwickshire Training Hub, Primary Care Cardiovascular Society and the College of Paramedics. Follow Derek on X at @DrDerekConnollyPrimary care Cardiovascular Society Primary Care Cardiovascular Society (pccsuk.org)Know your numbersBlood Pressure UKNICE guidelines - Chest Pain Chest pain | Health topics A to Z | CKS | NICEIschaemia with Non-Obstructive Coronary Arteries INOKACoronary artery spasm: What it is and the treatment options - BHFNONSTEMI Angiography researchComparison of Acute Versus Subacute Coronary Angiography in Patients With NON-ST-Elevation Myocardial Infarction (from the NONSTEMI Trial) - ScienceDirectLipoprotein(a)Lipoprotein(a) and Major Adverse Cardiovascular Events in Patients With or Without Baseline Atherosclerotic Cardiovascular Disease | Journal of the American College of Cardiology (jacc.org)Coventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of Paramedics Home (collegeofparamedics.co.uk)
Jan 30, 2024 • 45min
Respiratory Assessment with Dr Mai Elftise 'Make sure to assess patients inhaler technique in your assessments' Episode 2
Send us a textRichard and is joined by guest presenter Sophie and Dr Mai Elftise to discuss respiratory assessment. During the episode we discus's the assessment of patient cases including wheezing, prolonged cough and sleep apnea. This includes history taking, red flags, investigations and referrals for these patient presentations.As always thank you Scott for your input. GINA guidelinesGlobal Initiative for Asthma - Global Initiative for Asthma - GINA (ginasthma.org)Primary Care Respiratory Society Inspiring best practice in respiratory care | Primary Care Respiratory Society (pcrs-uk.org)Asthma ToolkitNHS RightCare » Asthma toolkit (england.nhs.uk)RightbreatheRightBreatheAsthma NICE guidelinesAsthma | Health topics A to Z | CKS | NICENICE guidelines lung and pleural cancers Lung and pleural cancers - recognition and referral | Health topics A to Z | CKS | NICECoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)College of ParamedicsHome (collegeofparamedics.co.uk)
Jan 27, 2024 • 32min
Respiratory Assessment with Dr Mai Elftise Episode 1 'Make sure your in the right body system'
Send us a textRichard welcomes Dr Mai Elftise to the podcast who is a GPwSI in respiratory medicine. During the episode we discuss the assessment of patients who present with protentional respiratory pathology. This includes history taking , red flags, investigations and referrals. We use Dr Mai's knowledge to introduce a case of a patient with possible COPD to assess and arrange appropriate investigations and referrals when needed. As always thank you to Scott for your help and support.Please follow us on X @FCPParamedicpodcastPrimary Care Respiratory Society Inspiring best practice in respiratory care | Primary Care Respiratory Society (pcrs-uk.org)GOLD guidelinesGlobal Initiative for Chronic Obstructive Lung Disease - Global Initiative for Chronic Obstructive Lung Disease - GOLD (goldcopd.org)NICE gudielinesChronic obstructive pulmonary disease | Health topics A to Z | CKS | NICEMRC Dyspnoea ScaleMRC Dyspnoea Scale | Primary Care Respiratory Society (pcrs-uk.org)SpirometrySpirometry | Primary Care Respiratory Society (pcrs-uk.org)Spirometry Interpretation | Obstructive vs Restrictive | Geeky MedicsDiagnosis - COPD | Diagnosis | Chronic obstructive pulmonary disease | CKS | NICECoventry and Warwickshire Training HubHome - Coventry & Warwickshire Training Hub (cwtraininghub.co.uk)PCRS respiratory conferencePCRS Respiratory Conference | Primary Care Respiratory Society (pcrs-uk.org)
8 snips
Jan 18, 2024 • 57min
MSK - Hip pain assessment 'consider the patients age when thinking about pathology in the hip joint'
Joining the discussion is Ed Baker, a physiotherapist and FCP ambassador specializing in hip pain assessment. He emphasizes the crucial role of age in diagnosing hip issues, explaining how conditions vary between younger and older patients. The conversation covers essential assessment techniques like gait analysis and red flags to watch for, such as unexplained weight loss and neurological symptoms. Ed shares insights from a case study on hip osteoarthritis, illustrating the impact of thorough history-taking and tailored assessments on patient outcomes.
Nov 18, 2023 • 1h 10min
MSK - Knee Pain Assessment 'remember one up one down'
Join Richard and Emma as they discuss knee pain assessment with FCP physio Ed Baker, covering history taking, examination findings, and when to investigate knee pain. They dive into a case study on osteoarthritis, differentiate between OA and RA based on pain patterns, and explore red flags in knee assessment, emphasizing the 'one up one down' approach.
